** Thanks for contacting with your health concern 1. puffiness could be due to excessive intake of fats,carbohydrates and salt which can cause face puffiness [presence of diet] but other causes to exclude is/are: - sinus infection - thyroid problem - mumps infection - cushing syndrome 2. As far as problem of acid reflux is concerned: . taken an opinion of Gastroenterologist or medicine specialist? . done any investigation like endoscopy, gastric analysis,hemoglobin? . Avoid spices,tea/coffee, alcohol, smoking, unusual STRESS: physical and/ or mental, pain killers/steroids? LIFESTYLE MANAGEMENT . Do not lie down immediately after food. . Head high position at night (during sleep) . Take small non bulky meals . Bland and soft diet, avoid chillies and sour or fatty food . Stop smoking and alcohol intake . Stop irritant drugs (pain killers) . Take: green gram,bitter gourd,white gourd melon,old brown rice,piper longum,garlic, honey,amla,rice gruel,cucumber,banana, water melon, pomegranate,tomato, carrot,lukewarm water. . Avoid: newly harvested rice,chick pea flour, black/horse gram,potato, brinjal,butter milk, spices,tea/coffee,junk food,day time sleeping,salt and salt items in excess(chutney,sauce,pickles,chips,namkeen), sesame. . Mix 3 pinch dry ginger powder 3 pinch indian gooseberry powder 3 pinch sugar.... and eat for 1 month . Drink 4 spoons of aegle marmelos leaves juice for 14 days . Suck a piece of clove (for immediate relief) . Suck 10 gm jaggery everyday (after meals) for constant acidity. . Patoladi kwatha with honey (in morning) - Sutshekhar ras 125 mg with Lella vilas ras 125 mg to be taken with amla murabba. - Tablet Mentat or Brahmi vati : to keep the mind at ease, 2 at bed time only